Lakeland Village in Medical Lake - Intermediate Care Facility, Intellectual Disabilities
Lakeland Village - NPI 1366594228
Lakeland Village is a Intermediate Care Facility, Intellectual Disabilities in Medical Lake, Washington. Lakeland Village practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Lakeland Village is 1366594228. The last update date is 2020-08-22.
Lakeland Village's current location address is Po Box 200, Medical Lake, Washington. You can contact this provider via phone number 5092991001 and fax number 5092991070. The mailing address for Lakeland Village is Po Box 200, Medical Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeland Village |
|---|---|
| Address | Po Box 200, Medical Lake, Washington |
| Phone Number | 5092991001 |
| Fax Number | 5092991070 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SUPERINTEN |
|---|---|
| Authorized Official Name | Montague A. Kathryn |
| Telephone Number | 5092991001 |
NPI Number Detail
| NPI Number | 1366594228 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 200 |
|---|---|
| City | Medical Lake |
| State | Washington (WA) |
| Post Code | 990220200 |
| Phone Number | 5092991001 |
| Fax Number | 5092991070 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4012001 | WA | -- |
Post Comment/ Review Below
What is the Lakeland Village's 1366594228?
The Lakeland Village's NPI (National Provider Identifier) Number is 1366594228. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lakeland Village's physical address?
The Lakeland Village is physically located at Po Box 200, in the city of Medical Lake, WA, with the postal code 990220200.
What is the area of specialization for Lakeland Village, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lakeland Village is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1366594228 to Lakeland Village?
The Lakeland Village received its 1366594228 assignment from the Centers for Medicare & Medicaid Services on 2007-01-18.
When was the information regarding Lakeland Village most recently updated?
The details pertaining to the Lakeland Village, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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